www.integratedinjuryspecialists.com Open in urlscan Pro
62.106.91.24  Public Scan

Submitted URL: http://www.integratedinjuryspecialists.com/contact-us
Effective URL: https://www.integratedinjuryspecialists.com/contact-us/
Submission: On August 03 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST /contact-us/#wpcf7-f6-p290-o1

<form action="/contact-us/#wpcf7-f6-p290-o1" method="post" class="wpcf7-form init" aria-label="Contact form" novalidate="novalidate" data-status="init">
  <div style="display: none;">
    <input type="hidden" name="_wpcf7" value="6">
    <input type="hidden" name="_wpcf7_version" value="5.9.8">
    <input type="hidden" name="_wpcf7_locale" value="en_US">
    <input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f6-p290-o1">
    <input type="hidden" name="_wpcf7_container_post" value="290">
    <input type="hidden" name="_wpcf7_posted_data_hash" value="">
    <input type="hidden" name="_wpcf7_recaptcha_response"
      value="03AFcWeA4BWsbgC6hvzQnsCIfT1IwQ2nUzvM9_sz2IhqZADP0-UT0VGLXcKgigFJUUHu4Lbry8zACsXiPTiU9o_OAl7ovbGF9MHzaDpMdqIoYGm8i5v07_RL4I9mjoXzMfknUU3XVHcHkzCJ3kT2Yf8i0lX8cswKGHRVx10Uwtz3OX_R0S8CUwdM0p2s1vh363dY6zsmzPZRx--VZhPN6Ydiy7LreJa5ShCaPxvBE_Ta76J7-QkfTpDRgL0008eVevmEV0me6afOfFA7sApQGVpdVJPcd4fGm6bsSt-6CrKLv_641wMxTwrOk4h1FCnJ21KxFZp7l7f3dFk0JpNp78pHRtW1Ku_HiDYfNshxmJgQHQDAMHEAbm2l123il6e6kEKIZGhfwfLFZBRfHHklyVPhFx06SAXpxCiqaNMn8Hl1bFTg2v6NJI-a0COERktpEJsCsxn_7ueapuvqarkVYUAlY5vSZaH50cxMthOqtRyI35KFtATjuNESdkxqdihaF9Xq_am9GmqdrS3Aab9pkGXeWfZY9nm_al0vNjWTsPClxHU3QalooJzXTggneEjcSbDJjIEDJkIQj8ENctJxibNMbyOOmhSOwaSE44_jry1I9otKZmcC4XDl6KKs_LWurKItPqEiyItjDX_JDNPuhDiZ8NGvFaZYgzKkVAf7w7VjD0SpVMYkXxHy80i10aEpzXR5xaFDgWMKYMxyPjuBsTWDoH3uBuQXgsz2RzBs2co4yji81wjXQF5Bzn9p75KAX5doqGLtyggBPRKhOB1yJpTEVTJmhYqe-T5pKR_bPSCcqKppuX6yEsP-2NHgvX7KCeN1uwNSr4hrRwlnycV_NjGJIV2E6gpNYyPxg4ORQb13boAz-ndpZorYY">
  </div>
  <section id="cnt_frm">
    <div class="row1">
      <div class="lft">
        <p><span class="wpcf7-form-control-wrap" data-name="fname"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" placeholder="First Name" value=""
              type="text" name="fname"></span>
        </p>
      </div>
      <div class="rght">
        <p><span class="wpcf7-form-control-wrap" data-name="lname"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" placeholder="Last Name" value=""
              type="text" name="lname"></span>
        </p>
      </div>
      <div class="clear">
      </div>
    </div>
    <div class="row2">
      <div class="lft">
        <p><span class="wpcf7-form-control-wrap" data-name="email-id"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email" aria-required="true" aria-invalid="false"
              placeholder="E-mail" value="" type="email" name="email-id"></span>
        </p>
      </div>
      <div class="rght">
        <p><span class="wpcf7-form-control-wrap" data-name="phone"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" placeholder="Phone" value="" type="text"
              name="phone"></span>
        </p>
      </div>
      <div class="clear">
      </div>
    </div>
    <div class="row1">
      <p><label>I am a/an:</label><span class="wpcf7-form-control-wrap" data-name="radio-586"><span class="wpcf7-form-control wpcf7-radio"><span class="wpcf7-list-item first"><label><input type="radio" name="radio-586" value="Attorney"
                  checked="checked"><span class="wpcf7-list-item-label">Attorney</span></label></span><span class="wpcf7-list-item"><label><input type="radio" name="radio-586" value="Patient"><span
                  class="wpcf7-list-item-label">Patient</span></label></span><span class="wpcf7-list-item last"><label><input type="radio" name="radio-586" value="Healthcare Provider"><span class="wpcf7-list-item-label">Healthcare
                  Provider</span></label></span></span></span>
      </p>
    </div>
    <div class="row2">
      <p><span class="wpcf7-form-control-wrap" data-name="msg"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" placeholder="Message" value="" type="text"
            name="msg"></span>
      </p>
    </div>
    <div class="row1">
      <p><input class="wpcf7-form-control wpcf7-submit has-spinner" type="submit" value="Submit"><span class="wpcf7-spinner"></span>
      </p>
    </div>
    <div class="clear">
    </div>
  </section>
  <div class="wpcf7-response-output" aria-hidden="true"></div>
</form>

Text Content

Skip to content

(657) 888-2683

Menu
 * Attorney Services
 * Healthcare Providers
 * Provider Services
 * Patient Services
 * Patient Education
 * Contact Us


CONTACT US

Home > Contact Us

Don’t wait until hassle and slowdowns negatively affect you or your clients.
Contact Integrated Injury Specialists today to learn more about our services,
and the benefits we provide. Our team is available to answer any additional
questions and provide complete walkthroughs of our services. Contact us today by
filling out our online form or at the contact information on this page. Our team
looks forward to doing their part in helping patients, attorneys, and provides
exceptional medical administrative services.

I am a/an:AttorneyPatientHealthcare Provider










CONTACT

(657) 888-2683

1122 E. Lincoln Ave # B100
Orange, CA 92865

reception@integratedinjuryspecialists.com

(657) 888-2683

888-676-1285

© 2024 Integrated Injury Specialists. All Rights Reserved.
 * Attorney Services
 * Healthcare Providers
 * Provider Services
 * Patient Services
 * Patient Education
 * Contact Us

Close
Please ensure Javascript is enabled for purposes of website accessibility